Individual
DR. MICHELLE C. PESCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1650 SYCAMORE AVE STE 44, BOHEMIA, NY 11716-1736
(631) 542-2753
Mailing address
1650 SYCAMORE AVE STE 44, BOHEMIA, NY 11716-1736
(631) 542-2753
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
000075-1
NY
103T00000X
Psychologist
Primary
020386-1
NY
Other
Enumeration date
07/29/2017
Last updated
03/28/2018
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